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Goals . Review types of contrast sensitivity tests and their measurementsDiscuss how contrast sensitivity tests should be interpretedDiscuss environmental and patient centered modifications. Vision. Ability to see detailTypically measured with high contrast chartsSnellen most common test in prim
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1. Contrast SensitivityMeasurements, Interpretation and ModificationsKaren Squier, OD, FAAOChicago, ILAugust 13, 2011 AER Conference, Boston
2. Goals Review types of contrast sensitivity tests and their measurements
Discuss how contrast sensitivity tests should be interpreted
Discuss environmental and patient centered modifications
3. Vision Ability to see detail
Typically measured with high contrast charts
Snellen most common test in primary care
Projected charts or computer generated
Test is typically given at 20 foot distance or equivalent
4. Vision Using visual acuity charts measures ability of patient to see details
Good measurement of spectacle blur
Does not give functional or descriptive picture of how well patient sees
5. Vision Visual acuity is a valuable measurement
Measures disease progression
Assists in determining magnification
Helps determine devices useful for goal print
Determines disability
20/200 visual acuity equates to legally blind status
20/70 visual acuity equates to visual impairment
Useful measure in uncovering spectacle blur
6. Vision Despite good visual acuity patients may still have complaints that far outweigh their performance on acuity testing
Poor mobility
Difficulty with facial recognition
Problems with glare
7. Visual acuity Functionally, does not assess patients performance in real life situations
Ability to navigate safely in a movie theatre compared to supermarket
Ability to appreciate print on a black board in a class room with overhead lights compared to a class room with additional lighting from windows
8. Vision